| Doctor Name: | JAIMI VANN |
| NPI Number: | 1164460564 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 000138 |
| Business Practice Address: | 37 Commerce Ave Danielson, CT - 062392804 |
| Business Phone Number: | 8607747179 |
| Business Fax Number: | 8607796526 |
| Mailing Address: | 995 Day Hill Rd, WINDSOR |
| State: | CT |
| Postal Code: | 060951722 |
| Phone Number: | 8607315522 |
| Fax Number: | 8607315536 |
| NPI Enumeration Date: | 06/04/2006 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 000138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |